Widem, Jill
Widem, Jill is an sole proprietor health care provider with primary practice located at 775 Ellsborough Ct , Johns Creek GA 30005-2575. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Widem, Jill can be contacted via phone (404) 518-0944.Contact Information
Primary practice address
775 Ellsborough Ct
Johns Creek GA 30005-2575
Phone: (404) 518-0944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007721 | Georgia |
Profile Details
| NPI number | 1083167993 |
|---|---|
| LBN Legal business name | Widem, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2016 |
| Last updated | Jul 27th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Kidd, Meagan G
10620 Stonefield Lndg , Johns Creek GA 30097-2029 -
Varnado, Jennifer Michele
7170 Devonhall Way , Johns Creek GA 30097-1898 -
Voyles, Elizabeth
5955 State Bridge Rd Ste 110 , Johns Creek GA 30097-8228 -
Cronic, Megan Elizabeth
415 Fairford Ln , Johns Creek GA 30097-7838 -
Hire, Natalie Frances
7300 Devonhall Way , Johns Creek GA 30097-1864 -
Orlick, Jessica Melito
410 Brookhollow Ln , Johns Creek GA 30022-7305 -
Tucker, Kimberly Jan
10100 Groomsbridge Rd , Johns Creek GA 30022-2673 -
Mims, Melanie
220 Ascalon Ct , Johns Creek GA 30005-2526